| Tim Bizelli Counseling Llc | |
|
8759 Veterans Memorial Pkwy O Fallon MO 63366-7538 | |
| (636) 345-1106 | |
| (636) 356-1319 |
| Full Name | Tim Bizelli Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8759 Veterans Memorial Pkwy, O Fallon, Missouri |
| Authorized Official Name and Position | Tim Duane Bizelli (OWNER/CLINICAL SUPERVISOR) |
| Authorized Official Contact | 6363451106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Bizelli Counseling Llc 230 Gobbler Dr Troy MO 63379-2578 Ph: (636) 345-1106 | Tim Bizelli Counseling Llc 8759 Veterans Memorial Pkwy O Fallon MO 63366-7538 Ph: (636) 345-1106 |
| NPI Number | 1659035350 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659035350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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